USMLE step 2 Mcq 168:A 7 year old child with a seven day history of acute sinusitis tenderness becomes rapidly unconcious

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Question:
A 7 year old child with a seven day history of acute sinusitis tenderness becomes rapidly unconcious and has repeated seizures within 24 hours. Examination reveals several diffuse focal neurologic deficits. An MRI examination of the brain suggesets edematous and hyperemic gyri with small foci of infarction. the likely pathology is

a) encephalitis
b) child abuse
c) meningitis
d) thrombosis of a major dural sinus
e) pseudotumour cerebri


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